Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Uc Regents UCLA Dept of Medicine Prof Group

Organization Family Medicine Physician · NPI 1063461804

Uc Regents UCLA Dept of Medicine Prof Group provides Family Medicine Physician services in Pacific Palisades, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

15200 W Sunset Blvd
Pacific Palisades, CA 90272-3619
Phone: (310) 230-0284
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1063461804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Oye — Vice Chair Of Clinical Services · (310) 206-0644
NPI enumeratedMay 9, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 24dd5 Westwood Station, Los Angeles, CA 90024

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